Organization Active NPI

Trinity Medical Care

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1992271597
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRINITY MEDICAL CARE
Practice address
3650 South St Ste 110
Lakewood, CA 90712-1534
Phone
(562) 531-6140
Fax
(562) 531-7404
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sam Abdelemelek, MD
Title
Owner
Phone
(562) 310-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3650 South St Ste 110
Lakewood, CA 90712-1534

Mailing address

5200 Clark Ave Unit 768
Lakewood, CA 90714-7037
Phone (562) 531-6140

Other identifiers 1

IdentifierTypeStateIssuer
1649414855MedicaidCA

National Provider Directory

National Provider Directory

Locations

5200 Clark Ave
Unit 768
Lakewood, CA 90714

3650 South St
Ste 110
Lakewood, CA 90712
Phone (562) 531-6140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1992271597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CLARK AVE UNIT 768",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907147037",
            "telephone_number": "562-531-6140",
            "fax_number": "562-531-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 110",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121534",
            "telephone_number": "562-531-6140",
            "fax_number": "562-531-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "ABDELEMELEK",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-310-1795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649414855",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.